MIME-Version: 1.0
Server: CERN/3.0
Date: Monday, 06-Jan-97 23:01:22 GMT
Content-Type: text/html
Content-Length: 726
Last-Modified: Monday, 13-May-96 04:46:29 GMT

<title>Feedback</title>
<h1>Feedback</h1>
<FORM ACTION="http://www.cs.utexas.edu/users/wchen/cgi/mycgi">
Please use this form to enter your comments, questions, and suggestions.
<H2>Personal Information</h2>
<input type="text" name="Name">Name<p> 
<input type="text" name="Address">E-mail Address<p> 
<H2>Type of your comment</H2>
<input type="radio" name="Type" value="Comment" checked>Comment<br>
<input type="radio" name="Type" value="Question">Question<br>
<input type="radio" name="Type" value="Suggestion">Suggestion<br>
<h2>Please enter your comment here:</h2>
<textarea rows=8 cols=40 name="Comment">
</textarea>
<input type="submit" value=" Send Comment ">
</FORM>
<p><hr><p>
<address>wchen@cs.utexas.edu</address>


